LANDMARK MEDICAL (NPI# 1801276316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801276316 |
| Entity Type | Organization |
| Organization Name | LANDMARK MEDICAL |
| Practice Address |
103 Jordan Dr Chattanooga TN 37421-6715 |
| Practice Telephone | 4238055113 |
| Practice Fax Number | 4238055139 |
| Mailing Telephone | 4238055113 |
| Mailing Fax Number | 4238055139 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-11-06 |
| Authorized Official Name | CHRISTIAN STOVALL (PRESIDENT) |
| Authorized Official Telephone | 9012339201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LANDMARK MEDICAL BILLING AND CONSULTING, LTD. | 630 Shore Road, Apt 205, Long Beach, Ny 11561 |
| System for Award Management (SAM) Entities | LANDMARK MEDICAL CENTER | 115 Cass Ave, Woonsocket, RI 02895-4705 |
| Connecticut Business Registrations | LANDMARK MEDICAL OF CONNECTICUT, P.C. | 7755 Center Avenue, Suite 630, Huntington Beach, CA 92647 |
| Oregon Corporations, Companies and Business Names | LANDMARK MEDICAL OF OREGON, PC | 7755 Center Ave Ste 630, Huntington Beach, CA 92647 |
| Washington State Corporations | LANDMARK MEDICAL OF WASHINGTON, PC | 7755 Center Ave #630, Huntington Beach, CA 92647 |
| Virginia Business Entities | LANDMARK MEDICAL PHYSICAL THERAPY AND X-RAY CLINIC INC. | |
| Colorado Business Entities | Landmark Medical Services LLC | 7898 Cheyenne Pl, Larkspur, CO 80118 |
| Indiana Business Entities | LANDMARK MEDICAL TRANSPORTATION INC. | 6966 Broadway, Merillville, IN 46410 |
| New York State Corporations | LANDMARK MEDICAL, P.C. | 80 State Street, Albany, New York 12207-2543 |
| Street Address |
103 JORDAN DR |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-6715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427080621 | Akinwande Olumide Erinle | Pediatrics | 103 Jordan Dr, Suite 3, Chattanooga, TN 37421-6715 | 2006-07-07 |
| 1629510284 | Heather Lauren Richardson | Nurse Practitioner | 103 Jordan Dr, Suite 3, Chattanooga, TN 37421-6715 | 2016-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
| 1417470501 | True Wellness Medical | General Practice | 6102 Shallowford Rd Ste 103, Chattanooga, TN 37421-1684 | 2017-07-20 |
| 1871914127 | Afc Physicians of Tennessee, PC | General Practice | 3520 Cummings Highway, Chattanooga, TN 37419-2311 | 2014-01-03 |
| 1447424866 | Comprehensive Health Services | General Practice | 3800 Amnicola Hwy, Chattanooga, TN 37406-1003 | 2008-04-16 |
| 1790789717 | Philip Thomas Newton Jr. | General Practice | 3812 Tennessee Ave, Chattanooga, TN 37409-1203 | 2005-06-08 |
| 1558836049 | Cascade Healthcare Pllc | General Practice | 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421-1972 | 2018-10-10 |
| 1346659810 | Apple Corporate Wellness Inc. | General Practice | 6221 Shallowford Rd, Ste 100, Chattanooga, TN 37421-1971 | 2014-08-08 |
| 1346654449 | Mh Health Care Services, PC | General Practice | 620 E 11th St, C/o City of Chattanooga Employee Health Center, Chattanooga, TN 37403-3101 | 2014-06-17 |
| 1962662791 | Urgent & General Medicine Ministry, PC | General Practice | 2158 Northgate Park Ln, Suite 104, Chattanooga, TN 37415-6957 | 2008-06-16 |
| 1962620302 | Jerome A Sherard Md PC | General Practice | 340 N Holtzclaw Ave, Chattanooga, TN 37404-2305 | 2007-04-23 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.